| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
366 |
106 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
361 |
98 |
$7K |
| V2020 |
Frames, purchases |
398 |
107 |
$7K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
266 |
73 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
231 |
63 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
301 |
82 |
$3K |
| 92370 |
|
294 |
80 |
$2K |